Provider Demographics
NPI:1447424148
Name:HOLLWEG, KURT WILLIAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:WILLIAM
Last Name:HOLLWEG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22905 WEST MAIN STREET
Mailing Address - Street 2:BOX 571
Mailing Address - City:ARMADA
Mailing Address - State:MI
Mailing Address - Zip Code:48005
Mailing Address - Country:US
Mailing Address - Phone:586-784-9033
Mailing Address - Fax:586-784-5644
Practice Address - Street 1:22905 W. MAIN ST
Practice Address - Street 2:
Practice Address - City:ARMADA
Practice Address - State:MI
Practice Address - Zip Code:48005
Practice Address - Country:US
Practice Address - Phone:586-784-9033
Practice Address - Fax:586-785-5644
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901009752122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist